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Deep cutaneous ulcers and sinus formation in an immunocompetent adult
Zhou, Qiang; Zhu, Kejian.
  • Zhou, Qiang; Zhejiang University. Sir Run Run Shaw Hospital. Department of Dermatology. Zhejiang. CN
  • Zhu, Kejian; Zhejiang University. Sir Run Run Shaw Hospital. Department of Dermatology. Zhejiang. CN
An. bras. dermatol ; 94(6): 744-746, Nov.-Dec. 2019. graf
Article in English | LILACS | ID: biblio-1054899
Responsible library: BR1.1
ABSTRACT
Abstract This report describes a case of unusual deep skin ulcers with tortuous sinus tract formation in an immunocompetent woman. She was initially diagnosed with a Staphylococcus aureus skin infection and histopathologically diagnosed with pyoderma gangrenosum. However, culture from the deep end of ribbon gauze inserted into the subcutaneous sinus tract revealed shiny, light-yellow mucoid colonies, which were identified as Cryptococcus neoformans var. grubii. She was treated with fluconazole for nine months and completely healed. Cryptococcosis is an opportunistic infection caused by variants of C. neoformans species. Cutaneous manifestations of cryptococcosis are quite divergent, rarely occurring as deep skin ulcers with sinus formation.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Skin Ulcer / Cryptococcosis / Cryptococcus neoformans / Dermatomycoses / Immunocompetence Type of study: Case report / Prognostic study Limits: Adult / Female / Humans Language: English Journal: An. bras. dermatol Journal subject: Dermatology Year: 2019 Type: Article Affiliation country: China Institution/Affiliation country: Zhejiang University/CN

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Full text: Available Index: LILACS (Americas) Main subject: Skin Ulcer / Cryptococcosis / Cryptococcus neoformans / Dermatomycoses / Immunocompetence Type of study: Case report / Prognostic study Limits: Adult / Female / Humans Language: English Journal: An. bras. dermatol Journal subject: Dermatology Year: 2019 Type: Article Affiliation country: China Institution/Affiliation country: Zhejiang University/CN